Provider Demographics
NPI:1023237856
Name:CHARLES L COX PHD PA
Entity type:Organization
Organization Name:CHARLES L COX PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-265-4566
Mailing Address - Street 1:50 SUGAR CREEK CENTER BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3662
Mailing Address - Country:US
Mailing Address - Phone:281-265-4566
Mailing Address - Fax:281-265-5127
Practice Address - Street 1:50 SUGAR CREEK CENTER BLVD
Practice Address - Street 2:STE 250
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3662
Practice Address - Country:US
Practice Address - Phone:281-265-4566
Practice Address - Fax:281-265-5127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21710103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0033PNOtherBLUE CROSS GROUP NUMBER
TX00123YMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER